Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6254: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$11,867.23

Service Code	APR-DRG 6254
Hospital Charge Code	APRDRG 6254
Min. Negotiated Rate	$11,867.23
Max. Negotiated Rate	$11,867.23
Rate for Payer: Aetna CHP/Medicaid	$11,867.23
Rate for Payer: Humana OH Medicaid	$11,867.23

INPATIENT APRDRG 6261: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$1,507.03

Service Code	APR-DRG 6261
Hospital Charge Code	APRDRG 6261
Min. Negotiated Rate	$1,507.03
Max. Negotiated Rate	$1,507.03
Rate for Payer: Aetna CHP/Medicaid	$1,507.03
Rate for Payer: Humana OH Medicaid	$1,507.03

INPATIENT APRDRG 6262: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$1,686.32

Service Code	APR-DRG 6262
Hospital Charge Code	APRDRG 6262
Min. Negotiated Rate	$1,686.32
Max. Negotiated Rate	$1,686.32
Rate for Payer: Aetna CHP/Medicaid	$1,686.32
Rate for Payer: Humana OH Medicaid	$1,686.32

INPATIENT APRDRG 6263: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$5,600.70

Service Code	APR-DRG 6263
Hospital Charge Code	APRDRG 6263
Min. Negotiated Rate	$5,600.70
Max. Negotiated Rate	$5,600.70
Rate for Payer: Aetna CHP/Medicaid	$5,600.70
Rate for Payer: Humana OH Medicaid	$5,600.70

INPATIENT APRDRG 6264: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$5,600.70

Service Code	APR-DRG 6264
Hospital Charge Code	APRDRG 6264
Min. Negotiated Rate	$5,600.70
Max. Negotiated Rate	$5,600.70
Rate for Payer: Aetna CHP/Medicaid	$5,600.70
Rate for Payer: Humana OH Medicaid	$5,600.70

INPATIENT APRDRG 6301: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$42,870.53

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG 6301
Min. Negotiated Rate	$42,870.53
Max. Negotiated Rate	$42,870.53
Rate for Payer: Aetna CHP/Medicaid	$42,870.53
Rate for Payer: Humana OH Medicaid	$42,870.53

INPATIENT APRDRG 6302: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$42,870.53

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG 6302
Min. Negotiated Rate	$42,870.53
Max. Negotiated Rate	$42,870.53
Rate for Payer: Aetna CHP/Medicaid	$42,870.53
Rate for Payer: Humana OH Medicaid	$42,870.53

INPATIENT APRDRG 6303: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$65,427.30

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG 6303
Min. Negotiated Rate	$65,427.30
Max. Negotiated Rate	$65,427.30
Rate for Payer: Aetna CHP/Medicaid	$65,427.30
Rate for Payer: Humana OH Medicaid	$65,427.30

INPATIENT APRDRG 6304: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$148,123.11

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG 6304
Min. Negotiated Rate	$148,123.11
Max. Negotiated Rate	$148,123.11
Rate for Payer: Aetna CHP/Medicaid	$148,123.11
Rate for Payer: Humana OH Medicaid	$148,123.11

INPATIENT APRDRG 6311: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$25,429.88

Service Code	APR-DRG 6311
Hospital Charge Code	APRDRG 6311
Min. Negotiated Rate	$25,429.88
Max. Negotiated Rate	$25,429.88
Rate for Payer: Aetna CHP/Medicaid	$25,429.88
Rate for Payer: Humana OH Medicaid	$25,429.88

INPATIENT APRDRG 6312: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$25,429.88

Service Code	APR-DRG 6312
Hospital Charge Code	APRDRG 6312
Min. Negotiated Rate	$25,429.88
Max. Negotiated Rate	$25,429.88
Rate for Payer: Aetna CHP/Medicaid	$25,429.88
Rate for Payer: Humana OH Medicaid	$25,429.88

INPATIENT APRDRG 6313: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$49,620.35

Service Code	APR-DRG 6313
Hospital Charge Code	APRDRG 6313
Min. Negotiated Rate	$49,620.35
Max. Negotiated Rate	$49,620.35
Rate for Payer: Aetna CHP/Medicaid	$49,620.35
Rate for Payer: Humana OH Medicaid	$49,620.35

INPATIENT APRDRG 6314: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$130,745.47

Service Code	APR-DRG 6314
Hospital Charge Code	APRDRG 6314
Min. Negotiated Rate	$130,745.47
Max. Negotiated Rate	$130,745.47
Rate for Payer: Aetna CHP/Medicaid	$130,745.47
Rate for Payer: Humana OH Medicaid	$130,745.47

INPATIENT APRDRG 6331: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$1,736.98

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG 6331
Min. Negotiated Rate	$1,736.98
Max. Negotiated Rate	$1,736.98
Rate for Payer: Aetna CHP/Medicaid	$1,736.98
Rate for Payer: Humana OH Medicaid	$1,736.98

INPATIENT APRDRG 6332: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$7,103.19

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG 6332
Min. Negotiated Rate	$7,103.19
Max. Negotiated Rate	$7,103.19
Rate for Payer: Aetna CHP/Medicaid	$7,103.19
Rate for Payer: Humana OH Medicaid	$7,103.19

INPATIENT APRDRG 6333: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$23,231.04

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG 6333
Min. Negotiated Rate	$23,231.04
Max. Negotiated Rate	$23,231.04
Rate for Payer: Aetna CHP/Medicaid	$23,231.04
Rate for Payer: Humana OH Medicaid	$23,231.04

INPATIENT APRDRG 6334: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$63,791.65

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG 6334
Min. Negotiated Rate	$63,791.65
Max. Negotiated Rate	$63,791.65
Rate for Payer: Aetna CHP/Medicaid	$63,791.65
Rate for Payer: Humana OH Medicaid	$63,791.65

INPATIENT APRDRG 6341: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$4,651.01

Service Code	APR-DRG 6341
Hospital Charge Code	APRDRG 6341
Min. Negotiated Rate	$4,651.01
Max. Negotiated Rate	$4,651.01
Rate for Payer: Aetna CHP/Medicaid	$4,651.01
Rate for Payer: Humana OH Medicaid	$4,651.01

INPATIENT APRDRG 6342: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$9,664.50

Service Code	APR-DRG 6342
Hospital Charge Code	APRDRG 6342
Min. Negotiated Rate	$9,664.50
Max. Negotiated Rate	$9,664.50
Rate for Payer: Aetna CHP/Medicaid	$9,664.50
Rate for Payer: Humana OH Medicaid	$9,664.50

INPATIENT APRDRG 6343: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$12,153.70

Service Code	APR-DRG 6343
Hospital Charge Code	APRDRG 6343
Min. Negotiated Rate	$12,153.70
Max. Negotiated Rate	$12,153.70
Rate for Payer: Aetna CHP/Medicaid	$12,153.70
Rate for Payer: Humana OH Medicaid	$12,153.70

INPATIENT APRDRG 6344: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$37,035.33

Service Code	APR-DRG 6344
Hospital Charge Code	APRDRG 6344
Min. Negotiated Rate	$37,035.33
Max. Negotiated Rate	$37,035.33
Rate for Payer: Aetna CHP/Medicaid	$37,035.33
Rate for Payer: Humana OH Medicaid	$37,035.33

INPATIENT APRDRG 6361: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$4,261.26

Service Code	APR-DRG 6361
Hospital Charge Code	APRDRG 6361
Min. Negotiated Rate	$4,261.26
Max. Negotiated Rate	$4,261.26
Rate for Payer: Aetna CHP/Medicaid	$4,261.26
Rate for Payer: Humana OH Medicaid	$4,261.26

INPATIENT APRDRG 6362: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$5,554.58

Service Code	APR-DRG 6362
Hospital Charge Code	APRDRG 6362
Min. Negotiated Rate	$5,554.58
Max. Negotiated Rate	$5,554.58
Rate for Payer: Aetna CHP/Medicaid	$5,554.58
Rate for Payer: Humana OH Medicaid	$5,554.58

INPATIENT APRDRG 6363: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$15,216.48

Service Code	APR-DRG 6363
Hospital Charge Code	APRDRG 6363
Min. Negotiated Rate	$15,216.48
Max. Negotiated Rate	$15,216.48
Rate for Payer: Aetna CHP/Medicaid	$15,216.48
Rate for Payer: Humana OH Medicaid	$15,216.48

INPATIENT APRDRG 6364: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$15,216.48

Service Code	APR-DRG 6364
Hospital Charge Code	APRDRG 6364
Min. Negotiated Rate	$15,216.48
Max. Negotiated Rate	$15,216.48
Rate for Payer: Aetna CHP/Medicaid	$15,216.48
Rate for Payer: Humana OH Medicaid	$15,216.48

Know your out-of-pocket cost for care.

All Charges